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Which of the following is a causative agent of a discharge disease?


A) Neisseria gonorrhoeae
B) Escherichia coli
C) Leptospira interrogans
D) Schistosoma haematobium
E) Herpes simplex virus 2

F) A) and B)
G) A) and C)

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You have been a carrier of HSV-2 for many years, with sporadic outbreaks perhaps once a year.You are pregnant and about to deliver your baby.What does your doctor suggest, now that you currently have an outbreak of herpes lesions?


A) Give you a high dose of antibiotics
B) Put the baby on a high dose of antivirals
C) Delivery by cesarean section
D) Have an abortion

E) All of the above
F) A) and D)

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A patient in your clinic has tested positive for syphilis, and following his visit, you must prepare the room for future use.To avoid spreading this organism to other patients, the best approach is to


A) contact the CDC for guidance on proper cleaning.
B) clean all surfaces with a common disinfectant.
C) discard all linens and instruments in biohazard containers.
D) lock the room and post a sign that it must be professionally decontaminated.

E) B) and C)
F) A) and D)

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Which of the following statements about Chlamydia is incorrect?


A) Elementary bodies lack enzyme systems for making ATP.
B) It is an obligate parasite that needs host cells for growth.
C) Elementary bodies are the infectious form.
D) Reticulate bodies differentiate into elementary bodies.
E) It is gram-negative.

F) C) and E)
G) All of the above

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Chlamydia infection can lead to cervicitis, salpingitis, and pelvic inflammatory disease.

A) True
B) False

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There is a controversy over pre-teen girls receiving the HPV vaccine.Many parents think that giving this vaccine condones sexual activity at a young age.On the other hand, there are parents who do not want their kids to pick up STIs.Why is the vaccine recommended for 11-12 year old girls? Why not give the vaccine to young adult women who are just becoming sexually active?


A) The vaccine is cheaper for young girls since the dosage of virus in the vaccine is far less than that given for older women.
B) The immune system is strongest in pre-teen girls, so it is best to give the vaccine very early in life.
C) Once the young woman becomes infected with HPV, the virus gets into cells.It is then too late to vaccinate.
D) Very young women tend to get cancer from HPV, whereas women who are older get warts from HPV.

E) C) and D)
F) B) and D)

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A health care provider who suspects that a woman may have vaginitis caused by Candida infection can confirm that by


A) plating a sample of the discharge on a medium containing salt as a selective agent.
B) identifying pseudohyphae in a Gram-stained smear examined using a light microscope.
C) identifying the characteristic protozoans in a smear examined using a fluorescence microscope.
D) submitting a sample of the discharge for PCR amplification.
E) submitting a sample of the discharge for metagenomic sequencing.

F) A) and B)
G) C) and D)

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Which of the following statements regarding gonorrhea is incorrect?


A) It is a sexually transmitted infection.
B) Females can have asymptomatic infections.
C) Pelvic inflammatory disease (PID) , epididymitis, and infertility are complications.
D) A chancre-type lesion develops at the portal of entry.
E) Symptoms include painful urination and discharge.

F) A) and B)
G) D) and E)

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The Tuskegee Study gathered information on ______.


A) chlamydia
B) syphilis
C) HIV
D) genital herpes
E) gonorrhea

F) D) and E)
G) A) and C)

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Which population is at greatest risk for group B Streptococcus infection?


A) College age women
B) Neonates
C) Post-menopausal women
D) AIDS patients
E) Pregnant women

F) A) and B)
G) None of the above

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Why does the microbiota of the reproductive tract change as the female ages from childhood to adulthood to old age?


A) Her estrogen and progesterone levels change over time.
B) The pH of the vagina changes over time.
C) The microbes in the vagina change the environment, which affects the populations of microbes living there.
D) Post-menopausal women have a stable microbiota.
E) All of these statements are true.

F) B) and C)
G) A) and B)

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The most commonly reported STI in the United States is ______.


A) Chlamydia infection
B) syphilis
C) gonorrhea
D) genital herpes
E) HIV infection

F) None of the above
G) A) and B)

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A

Which of the following statements is true regarding the male urethral biota?


A) There are no resident biota in the urethra.
B) The urethral biota is the same as the anal biota.
C) The urethral biota varies with sexual activity of the male.
D) The urethral biota in the male is exactly the same biota as in the female urethra.

E) B) and D)
F) B) and C)

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The rash of secondary syphilis


A) causes severe itching.
B) can last for months.
C) only lasts a few days.
D) does not impair function.
E) is intensely painful.

F) A) and D)
G) C) and D)

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Common spermicidal preparations have a toxic effect on Lactobacillus species and are associated with increased risk of urinary tract infection.Which of the following statements best explains this observation?


A) Lactobacillus can cause urinary tract infections when transferred from the reproductive system to the urinary system.
B) Use of spermicide must be carefully monitored so that it doesn't inadvertently enter the urinary tract.
C) Production of spermicidal chemicals must be rigorously controlled to avoid contamination with organisms like
D) Without the protective coating of Lactobacillus, organisms like
E) coli can attach to bladder epithelial cells.

F) C) and D)
G) D) and E)

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The best method for culturing Chlamydia is


A) enrichment through several rounds of blood culture.
B) eukaryotic cell culture.
C) a minimal, defined selective medium.
D) to incubate the medium at slighty lower than body temperature.

E) B) and C)
F) A) and B)

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B

Gardasil prevents infection by group B Streptococcus types 6, 11, 16, and 18.

A) True
B) False

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As a couple, you have been trying to get pregnant for a few years, but there appears to be a medical cause for the infertility.After a full checkup, your doctor tells you that there is scar tissue in the uterine tubes.What disease is the most likely cause of this problem?


A) Leptospirosis
B) Gonorrhea
C) Syphilis
D) Trichomoniasis

E) A) and D)
F) C) and D)

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The most common causative agent of urinary tract infections is ______.


A) Staphylococcus aureus
B) Streptococcus pyogenes
C) Pseudomonas aeurginosa
D) Escherichia coli

E) B) and D)
F) A) and B)

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D

In which of the following ways are Chlamydia and viruses the same?


A) Both can remain dormant in the cell nucleus for long periods of time.
B) Both are best treated with antiviral chemotherapy.
C) Both have surface proteins that cannot be recognized by the immune system.
D) Both are able to reproduce only within a eukaryotic cell.

E) A) and B)
F) A) and C)

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